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Documentation And Transfers - Week 2 Flashcards

(31 cards)

1
Q

T/F
Items that are not documented in medical records are considered not performed

A

True

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2
Q

What are the key points for professional practice records and reporting?

A

-accurate
-complete
-legible
-timely

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3
Q

When charting, what standards should be followed?

A

Should be:
-complete
-objective
-consistent
-accurate

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4
Q

T/F
Nothing should be left blank when entering information into a patient chart

A

True
Put a line through it or place a 0

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5
Q

The portion of the body in contact with a horizontal surface, such as the floor

A

Base of support

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6
Q

The principles of proper body alignment, movement, and balance

A

Body mechanics

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7
Q

The midpoint or center of the weight of a body or object.

A

Center of gravity

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8
Q

In a standing adult human, where is the Center of gravity

A

Midpelvic cavity

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9
Q

Feeble, weak, or otherwise disabled

A

Debilitated

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10
Q

Lesions that develop over bony prominences when pressure is exerted for any length of time. Also called bedsores

A

Decubitus ulcers

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11
Q

The act of vomiting

A

Emesis

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12
Q

Posterior curvature of the spine, characteristic of the thoracic spinal segments

A

Kyphotic

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13
Q

An imaginary line that extends from the Center of gravity to the base of support

A

Line of gravity

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14
Q

Anterior curvature of the spine, characteristic of both the cervical and lumbar spinal segments

A

Lordotic

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15
Q

A transient state of cerebral anoxia and low blood pressure occurring when an individual assumes a standing posture. Same as postural hypotension
*lack of oxygen to the brain

A

Orthostatic hypotension

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16
Q

An induced state of quiet, calmness, or sleep as by means of a sedative or hypnotic medication

17
Q

When lifting, where should a person bend?

A

Knees instead of waist

18
Q

What is more effective, pulling or pushing?

19
Q

What precautions must be taken when moving or transferring a patient?

A

-ID patient
-introduce yourself
-request patient information from nurse
-verify patients ability to move

20
Q

T/F
You should never move a patient without enough assistance

21
Q

What are some ways to assess patient mobility?

A

-deviations from correct body alignment
-immobility or limitations in range of joint motion
-the ability to walk
-respiratory, cardiovascular, metabolic, and musculoskeletal problems

22
Q

What are some ways to prevent possible patient injury?

A

-always lower the bed
-secure the rails
-place no skid slippers on patient
-raise foot supports on wheelchair

23
Q

When transporting patients in a wheelchair, how do you enter an elevator?

A

Back into the elevator

24
Q

What side of the patient should you assist on if needed?

A

The patients weaker side

25
Any manual method or physical or mechanical device, material or equipment attached or adjacent to the persons body that the person cannot remove easily that restricts freedom of movement or normal access to one’s body
Immobilizers
26
Must be ordered by the physician in charge of the patients care and applied in compliance with institutional policy. These are used to restrict movement to ensure safety
Restraints
27
T/F When using a immobilizer, a health care provider must stay with the patient at all times in case of emergency
True
28
What are some examples of immobilizers used for radiography?
-mummy wrap -piggostat -plexiglass -sand bags -book ends -tape -tensor
29
Sitting partially upward
Semi-fowler
30
Sitting upward
High Fowler
31
What patients are most prone to skin breakdowns?
Malnourished, elderly, chronically ill